Latest reports, citations, and penalties from CMS data
Federal inspectors found the facility placed residents in immediate jeopardy through preventable falls that caused serious injuries....
Medical records show the resident received insulin doses ranging from 2 to 3 units based on blood sugar levels from October 26 through November 27, 2024....
CNA A was providing incontinence care to Resident #11 on March 28 when the resident became combative, according to federal inspection records....
Residents routinely waited 30 minutes to over an hour for call lights to be answered, while some went without proper pain assessments for days....
Federal inspectors found the 136-bed facility violated basic safety and health requirements during a July complaint investigation....
The violations involved the Minimum Data Set, a federally required assessment tool that determines Medicare payments and care planning....
Federal inspectors found that Resident 65 at Hadley Pointe Nursing Rehab & Care lost 24.5 percent of his body weight between October 2024 and January 2025....
The coordinator also confirmed staff had been incorrectly ordering incomplete urine tests that couldn't properly detect infections....
When a certified nursing assistant walked to his car during his break around 2:45 PM, he found the resident sitting in his passenger seat....
On March 25, 2024, at 9:37 PM, R78 hit R66 directly in the face....
When asked about the protocol hours later, Staff A admitted the failure....
The incident occurred on the morning of May 8, 2024, when Certified Nursing Assistant 2 was assisting Resident 28 to the shower....
Staff noted that Resident 2 "had been drinking that morning," according to the facility's own investigation summary....
The incident at Stratford Specialty Care on May 15 began when Resident 13 took herself to the bathroom and had a bowel movement....
The resident's extremities were mottled, cold, and pulseless with associated cyanotic changes, according to hospital records reviewed by inspectors....
The resident's room displayed a clear sign directing staff to put on gloves and gown before entering and to clean hands before entering and leaving....
The August 26, 2024 fall happened when the resident returned from the bathroom and attempted to move from his wheelchair to bed....
The scene at University Park Rehabilitation and Healthcare on June 2 was so pungent that the urine odor radiated into the hallway....
R74 told inspectors on June 24 that he had not had a shower since admission to the facility....
Another resident received multiple insulin and blood thinner injections in identical locations despite doctor's orders specifically requiring site rotation....